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Overview

Inderal La 80Mg Tablet

Manufacturer: Abbott India Ltd
Medicine composition: Propranolol
Prescription vs.OTC: Prescription by Doctor required

Inderal La 80Mg Tablet is a drug that is called a beta-blocker. It is used to treat irregular heartbeats, high blood pressure, excessive migraines, chest pain from angina, anxiety and to prevent heart attacks.

Inderal La 80Mg Tablet is a beta-blocking agent that attaches itself to the heart, and inhibits the regular molecules from triggering the receptors. It blocks the beta-adrenergic receptors in the heart, thus slowing your heartbeat down and lowering the blood pressure. This lowers the stress placed on your heart, arteries, veins and blood vessels, decreasing the workload of the heart. In this way, it is effective in lowering blood pressure preventing a heart attack.

Inderal La 80Mg Tablet is a beta-blocking drug that works on the blood vessels, blood circulation and the heart. This drug is a Non-selective beta-blocker, which means that it works in the same manner on the heart, lungs and other organs. Inderal La 80Mg Tablet slows down the activity of the heart, by blocking the beta-adrenergic receptors within it. This lessens the workload on the heart by lowering the heartbeat and controlling the heart rhythm. Therefore, Inderal La 80Mg Tablet can help in the treatment of conditions such as hypertension, angina (chest pains), arrhythmia, migraines and it reduces chances of a stroke or a heart attack. It is also used to treat the symptoms of anxiety, such as tremors, sweating and rapid heartbeat.

Inderal La 80Mg Tablet is available in capsules, tablets and an oral solution. This drug must be taken according the doctor’s prescription. The doctor might recommend taking it two, three or even four times in a day. It is important to take this medication in a timely manner, and not to skip any dose. If you forget a dosage, you should not double up on your next dose to make up for the missed dose. You must complete the course of this medication. If you stop taking this medication for a few days before you have completed the course prescribed by the doctor, it can cause you to develop withdrawal symptoms.

Inderal La 80Mg Tablet might not be suitable for everyone as it can have harmful effects on people with certain conditions. Before beginning a course of this medication, you need to notify your doctor, if you are pregnant or breast feeding, or suffering from conditions such as asthma, diabetes mellitus, psoriasis, liver or kidney problems, have a severe heart condition. Since, these conditions can interfere with the treatment of Inderal La 80Mg Tablet and result in certain complications. Those who are allergic to it will manifest symptoms of an allergic reaction such as hives, swollen tongue, face or throat, itchiness and trouble breathing.

Inderal La 80Mg Tablet can cause a few minor side effects such as dizziness, nausea, vomiting, headaches, fatigue, diarrhea, cold feet or hands and an extremely low heart rate. You should inform your doctor, if these symptoms persist for a prolonged period. The major side effects of this drug are hallucinations, jaundice, liver problems, difficulty breathing, low blood sugar and loss of consciousness. It is imperative to seek emergency medical help if you notice any of these symptoms.

Moderate to severe pain
Inderal La 80Mg Tablet is used to relieve moderate to moderately severe pain.
Inderal La 80Mg Tablet is used to relieve long term pain. The extended release form is used in cases where round the clock relief is desired.
Inderal La 80Mg Tablet is not recommended for use if you have a known history of allergy to Tramadol or other medications belonging to the class Opiate Analgesics.
Severe asthma and breathing problems
Inderal La 80Mg Tablet is not recommended if you have breathing difficulties which may be caused due to various conditions like Asthma, Hypercapnia etc.
In addition to its intended effect, Inderal La 80Mg Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Constipation Minor Common
Nausea or vomiting Major Common
Dizziness Major Common
Sense of imbalance Moderate Common
Headache Minor Common
Sleepiness Moderate Less Common
Agitation and anxiety Moderate Common
Indigestion Moderate Less Common
Convulsions Major Rare
Irregular heartbeat Moderate Less Common
Shortness of breath Major Less Common
Itching or rash Minor Common
Nervousness Minor Less Common
How long is the duration of effect?
The effect of this medicine lasts for about 9 hours of duration.
What is the onset of action?
The effect of this medicine can be observed within an hour of administration.
Are there any pregnancy warnings?
Use of this medicine is not recommended for use in pregnant women as there is a lack of conclusive evidence from clinical studies. However, the potential benefits might warrant the use of this medication inspite of the risks involved. You should consult a doctor before using this medicine.
Is it habit forming?
Mild to moderate habit forming tendencies have been reported and hence requires careful administration and withdrawal.
Are there any breast-feeding warnings?
This medicine is not likely to be present in the breastmilk in alarming quantities. However, the risk of adverse effects on the nursing infant can not be ruled out and hence it is not recommended for use. You should consult your doctor and discuss the potential benefits and risks before deciding to take this medicine.
Are there any missed dose instructions?
Take the missed dose as soon as you remember. The missed dose can be skipped if it is almost time for the next scheduled dose. Try not to miss any dose as the quantity and timings are very specific and non-adherence could cause some side effects.
Are there any overdose instructions?
Report any incidence of overdose to the doctor immediately as the symptoms can be fatal especially if it is consumed by a child or a person using it without prescription. Symptoms of overdose may include slow rate of breathing, decreased heartbeat rate, severe drowsiness, and fainting. Immediate medical attention may be required if the symptoms are severe.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Liver Disease Major
Inderal La 80Mg Tablet should be given with caution if you are suffering from impaired liver function especially where the disease is in advanced stages. Suitable dose adjustment should be done based on the extent of impairment.
Kidney Disease Major
Inderal La 80Mg Tablet should be given with caution if you are suffering from kidney impairment. Suitable adjustments in dose and time duration between two doses might be required based on the extent of impairment.
Interaction with Alcohol
Ethanol Moderate
Avoid or limit the use of alcohol while you are taking this medicine. Any activity requiring a high level of mental alertness like operating heavy machinery or driving should be avoided.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Selegiline Major
Report the usage of either of the medications to the doctor. It is advised to stop the usage of Selegiline 14 days prior to using Inderal La 80Mg Tablet and vice versa. Any symptom like confusion, hallucination, seizure, fever and blurred vision should be reported on priority. A similar approach is to be followed for medicines belonging to the same group i.e Rasagelline, Phenelzine etc.
Fluoxetine Major
Report the usage of either of the medicines to the doctor. Any symptom like confusion, hallucination, seizure, fever and blurred vision should be reported on priority. The likelihood of getting an adverse effect is very high if you are suffering from seizures, undergoing alcohol or drug withdrawal, or have a disease of the brain like tumor or trauma. Do not stop the usage of any medication without consulting your doctor.
Ofloxacin Major
Report the usage of either of the medicines to the doctor. Suitable dose adjustment and close clinical monitoring may be required. The likelihood of getting an adverse effect is very high if you are suffering from seizures, undergoing alcohol or drug withdrawal, or have a disease of the brain like tumor or trauma. An appropriate substitute can be prescribed by the doctor in such cases.
Theophylline Major
Report the usage of either of the medicines to the doctor. Suitable dose adjustment and close clinical monitoring may be required. The likelihood of getting an adverse effect is very high if you are suffering from seizures, undergoing alcohol or drug withdrawal, or have a disease of the brain like tumor or trauma. An appropriate substitute can be prescribed by the doctor in such cases.
Amitriptyline Major
Report the usage of either of the medicines to the doctor. Suitable dose adjustment and close clinical monitoring may be required. The likelihood of getting an adverse effect is very high if you are suffering from seizures, undergoing alcohol or drug withdrawal, or have a disease of the brain like tumor or trauma. An appropriate substitute can be prescribed by the doctor in such cases.
Ketoconazole Moderate
Report the usage of either of the medications to the doctor so that suitable adjustment in dose can be done. Side effects such as drowsiness, impaired thinking, difficulty in breathing, and low blood pressure should be reported to the doctor. Do not discontinue the use of any medicine without consulting your doctor.
Warfarin Moderate
Report the usage of either of the medicine to the doctor. You may require a dose adjustment based on the certain tests to determine the clotting time of blood. Signs and symptoms such as unusual bleeding, vomiting, blood in urine and stools, headache etc should be reported immediately to the doctor.
Codeine Major
Report the usage of either of the medication to the doctor. Suitable dose adjustments and safety monitoring might be required in such cases. Signs and symptoms like difficulty in breathing, tremors, restlessness, lack of balance while walking etc should be reported to the doctor promptly.
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

Hi, Right now I stop inderal. My doctor (pulmonology) advice me to stop that & give me the buletrol inhaler 2 times (2pump-each time. I continue it more than one month & till now, but breathing problem is going on. Sir what can I do?

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Mr Roy stop inderal if Breathing problem going on check cbc Get pFt and add levolin inhaler sos may consider getting echo and ct chest Also do exercises and sleep study if you have snoring
1 person found this helpful

Hi doctor I have hypertension almost 1 year over. Heart beat fastness suddenly. I'm facing this problem before I use this tablet some what it's better then I stopped this tablet controlling with out medicines some times again fastness coming can I use now this tablet - inderal 10 mg? Almost 8 months back only I stopped this tablet after that I'm not using this please suggest me or I have to concern any doctor again why means I stopped rite I use or not without concerning?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi doctor I have hypertension almost 1 year over. Heart beat fastness suddenly. I'm facing this problem before I use ...
continue with the medicine which you have been taking it belongs to betablockers group which is safest among other medicines reduce stress and anxiety related issues with the help of yoga and meditation reduce weight also reduce salt and take more potassium through citrus fruits like oranges and lemon juice and water with honey exercise like simple walk eat more of seasonal vegetables and fruits

I want to know empty stomach drink in morning for being healthy I am taking antidepressants nd taking clox 0.5 inderal 10 mg. Please suggest

Diploma in Clinical Nutrition, Certified Diabetes Educator, Diploma in Sport & Exercise Nutrition, Diploma in Human Nutrition, Lifestyle Medicine, BSC IN LIFE SCIENCES
Dietitian/Nutritionist, Bangalore
I want to know empty stomach drink in morning for being healthy I am taking antidepressants nd taking clox 0.5 indera...
Take lukewarm water with either amla juice or lemon. After that you can take herbal tea / green tea without sugar.
2 people found this helpful

Popular Health Tips

6 Magical Tips to Cope with Migraine Attacks

INSTITUTE OF ALTERNATIVE MEDICINES
Ayurveda, Delhi

6 Magical Tips to Cope with Migraine Attacks

Migraines affect up to 18 percent of women and 6 percent of men in the United States. Today, migraines affect as many as four out of every five people in America.  Doctors are still unraveling the mysteries of migraines. Most doctors believe a combination of things that cause people to have migraines. The causes of migraines range from genetics to neurovascular imbalances in the brain.

Why Do Most People Experience Weather Related Migraines?

It is not entirely clear why some people experience more migraines around the change of weather.  Even though the cause of weather related migraines has not been identified, there are ways to decrease the severity, reduce and prevent migraines from occurring.

In a recent survey by the National Headache Foundation, headache sufferers were given a list of possible causes. They were asked to rank them in terms of what commonly brought on their migraines. Three out of every four respondents said that weather triggered their headache pain.

Specific weather triggers included:

  • Changes in humidity
  • Changes in temperature
  • Storms
  • Extremely dry conditions

Most people have an idea of what causes their migraines, but the real question is what can you do to help reduce the amount of migraines, decrease the severity or prevent the migraines from occurring?   Below are six tips to help you cope and find a solution to preventing your migraines. 

6 Tips on How to Cope With Your Migraines

Tip # 1 – Keep a Diary of Your Migraines:

Keeping a diary is the first step toward finding a solution, so your migraines do not disrupt you and stop you from having a healthy, happy and productive life.  The first step is to try to figure out what triggers your migraines.  One way to do that is to keep a diary of all your migraines.  If you think weather is a reason for your migraines then record any of the common weather and environmental factors that may have initiated your migraines. Keep a detailed diary and bring this diary to your doctor, so your doctor can figure what the best treatment is for you.

In your diary, you should include:

  • What part of the brain do you feel the pain?
  • What does the pain feel like?
  • The time your headache began and when it ended
  • Any changes in the weather, such as storms, high winds, or high humidity
  • Any warning signs – symptoms before the migraine occurred
  • Any treatment you tried, and whether it helped or made the migraine worse

Tip # 2 – Making Changes in Your Daily Regimen:

Making changes in your everyday life can help reduce the number and severity of migraines you are experiencing. Here are some changes you can incorporate into your life that can help improve the number of migraines you are experiencing.

  • Sleep: Make sure you get enough of sleep and try going to sleep around the same time each night.  Interruptions in your sleep schedule, getting too much or too little sleep, can trigger a migraine.
  • Exercise regularly: Research has shown that regular, moderate aerobic exercise may reduce the severity, duration, and number of migraines in many people. Regular exercise also helps control stress, another migraine trigger.
  • Eat regular meals: Eating healthy meals regularly are important to maintain level blood sugar. A drop in blood sugar can trigger a migraine.
  • Drink plenty of water: Make sure you drink plenty of water to avoid dehydration, which can trigger migraine.
  • Limit stress: For many migraine sufferers, stress is plays a big factor. Take time each day to relax. Find something that helps you relax like listening to soothing music, taking short walks, meditating or doing yoga.
  • Try complementary therapies: Try using complementary therapy to help prevent migraines. For example, you may be able to manage stress and prevent migraines through acupuncture, massages and cognitive behavioral therapy.

Tip # 3 – Incorporate Certain Foods into Your Diet:

If you are a migraine sufferer like me, you are constantly looking for prevention ideas. Certain foods can help fight off and prevent migraines.  These foods include:

  • Cayenne: Cayenne peppers are widely recognized as culinary ingredients that add intense heat and flavor to southwest American, Caribbean, Indian and Asian dishes. However, this pepper may also offer healing benefits. Capsaicin, the chemical that gives cayenne peppers their heat, may help reduce blood vessel constriction. This may help prevent rapid blood pressure fluctuations that can trigger migraine headaches.
  • Coffee: When it comes to coffee, caffeine can give you migraine relief. It is a major ingredient in many headache medications. However, if you consume too much, it can actually cause migraines. Moderation is key!
  • Flaxseed and Fish: An anti-inflammatory diet is beneficial to preventing migraines.  Flaxseeds and fish are packed with omega-3s and fiber can actually help prevent migraines.
  • Riboflavin-rich Foods: Riboflavin, also known as vitamin B-2, is one of eight B vitamins necessary for the metabolism of nutrients and protection of your central nervous system. A deficiency of this vitamin may also contribute to headaches, particularly migraines. Adding foods high in riboflavin may help stop recurring migraines by correcting deficiencies. Eggs, avocados, broccoli, romaine lettuce, alfalfa, asparagus, walnuts and mushrooms are abundant sources of riboflavin.
  • Magnesium-rich Foods: About 60 percent of migraine sufferers may have magnesium deficiencies. Magnesium is a trace mineral that may help normalize nerve impulses in your brain that transmit pain signals. This may help stop intense pain associated with migraine headaches. It may also help regulate the production of serotonin, a neurotransmitter chemical that may contribute to sudden changes in blood pressure – a contributing factor of migraines. Increase your magnesium intake by consuming foods such as kale, tofu, lima beans, kelp, garlic, apples, bananas and apricots.

Tip # 4 – Consider Dietary Supplements:

  • Magnesium: This is probably the most important one as it contributes to relaxing the brain blood vessels that cause the pain. Magnesium penetrates cell membranes, including the mitochondria. Some of the best drugs used to treat migraines are calcium channel blockers.
  • Vitamin B2: (riboflavin) – Riboflavin, which is vitamin B2, converts energy from carbohydrates. The riboflavin gives your brain more energy, which makes it less likely to be bothered by migraine triggers.
  • Vitamin B6: Vitamin B6 is needed so the body can properly use serotonin and dopamine. These neurotransmitters are necessary for normal nerve cell communication. Researchers have found lower levels of serotonin in people with migraine headaches. Therefore taking Vitamin B6 may help the body better use these crucial chemicals and it is thought be a key vitamin for migraine aura and a natural remedy for migraines.
  • Vitamin B12 & Folic acid:  Vitamin B-12 supplements may also be effective for migraine relief if taken along with vitamin B6 and folic acid. A study published in “Pharmacogenetics & Genomics” in June 2009 showed that participants who took all three supplements together saw a reduction in migraine headache frequency and the severity of their pain.

Tip # 5 – Consider the Possibilities of Herbal Supplements:

For centuries, many people have used alternative therapies to help or cure common conditions.    Certain herbs have been used to help reduce or prevent migraines.  Some can be just as strong or effective as prescription drugs. Therefore, it is important to remember, if you consider using any type of herbal supplements, consult your doctor first.  Make sure it does not conflict with any medications you are currently taking.   You should not take any herbal supplements or drugs unless your doctor says it is OK and if you are pregnant, you should not take any herbal supplements because it may harm the baby.

Herbal supplements used to reduce and prevent migraines include the following:

  • Alfalfa Leaf
  • Barberry Root
  • Bay Leaf
  • Brazilian Guarana
  • Butterbur
  • Catnip
  • Cayenne
  • Chamomile
  • Dong Quai
  • Evening Primrose
  • Feverfew
  • Ginger Root
  • Green Tea
  • Griffonia Seed
  • Hawthorne Leaf
  • Honeysuckle
  • Kola Nut
  • Lemon Balm
  • Passion Flower
  • Peppermint Leaf
  • Valerian Root
  • White Willow Bark
  • Wintergreen
  • Wood Betony

Tip # 6 – Prescription Medications:

Not all experts would recommend using medication to prevent temperature-change-related migraines.  However, if you have tried natural, holistic and alternative therapies to try to eliminate your migraines and nothing seems to be effective then you should focus on other alternatives such as prescription medications specifically made to help people suffering from migraines.

Below are some prescription medications for patients suffering from migraines:

  1. Antiepileptic drugs: Certain medications used to control seizures are also effective for preventing migraines as well. These drugs may work by calming the neurons in the brain. Neuron “hyperexcitability” plays a role in migraine and epilepsy. Up to 20% of people with epilepsy also suffer from migraines including myself.  Anti – seizure medications that help migraines include:
    1. Depacon (valproate)
    2. Depakote (divalproex)
    3. Topiragen, Topamax (topiramate)
  2.  Beta-blockers: These medications are frequently used to treat high blood pressure and heart disease. It is not clear how they help prevent migraines. Nevertheless, beta-blockers improve the blood flow and this may be significant reason why beta-blockers help prevent migraines.  Beta-blockers that have been proven effective for the prevention of migraines include:
    1.  Blocadren (timolol)
    2. Inderal, Innopran XL (propranolol)
    3. Lopressor, Toprol XL (metoprolol)
  3. Antidepressants: These medications affect the level of the brain chemical serotonin. Research has shown that Elavil (amitriptyline) and Effexor (venlafaxine) work well for preventing migraines.
7 people found this helpful

How Psoriasis Can be Treated with Homeopathic Remedies?

BHMS
Homeopath, Mumbai
How Psoriasis Can be Treated with Homeopathic Remedies?

What is Psoriasis

Psoriasis is a common skin disease characterized by thickened patches of inflamed, red skin covered with thick, silvery scales. The elbows and knees are the most common areas affected by psoriasis. It will often appear in the same place on both sides of the body. The patches can range in size from smaller than a dime to larger than a hand. 

Description of Psoriasis-

Normally, skin cells mature and shed after about a month. In psoriasis, the cell maturation speeds up, taking only three to four days. Because the lower layer of skin cells divide more rapidly than normal, dead cells accumulate in thicker patches on the skin's outermost layer called the 'Epidermis'. 

Forms & Classifications-

Psoriasis occurs in a variety of forms that differ in their intensity, duration, location, shape and pattern of scales. The most common forms are: 

  1. Plaque Psoriasis: Plaque psoriasis is the most common form of psoriasis. It is characterized by raised, inflamed, red lesions covered with a silvery-white buildup of dead skin cells (scales). This is found primarily on the Body, elbows, knees, scalp and finger or toe nails. 
  2. Guttate Psoriasis: Guttate psoriasis occurs most frequently in children and is characterized by numerous small, red, drop-like scaly macules that develop rapidly over a wide area of skin. This may appear following an infection, most frequently strep throat
  3. Inverse Psoriasis: Inverse psoriasis occurs in the armpit, under the breast, in skin folds, around the groin, in the cleft between the buttocks and around the genitals. It is usually pink and irritated but lacks the thick scale seen in other forms of psoriasis. 
  4. Pustular Psoriasis: Pustular psoriasis is a rare form characterized by small pustules (whitehead-like lesions) found all over the body or confined all over the body or confined to the palms, soles and other isolated areas of the body. 

Some dermatologists classify psoriasis as mild, moderate, or severe- Mild psoriasis is considered to be scaling over less than 5-10 percent of the body, moderate psoriasis is considered to be scaling over 10 to 20 percent of the body and severe psoriasis is considered to be scaling more than 20 percent of the body. 

In 5 percent of all psoriasis sufferers, arthritis will develop. This condition is called psoriatic arthritis. Arthritis is inflammation of a joint, usually accompanied by pain, swelling and changes in joint structure. 

Causes: 
The underlying psoriasis cause is unknown; however, it can be genetically inherited or passed from generation to generation. Most researchers agree that the Auto Immunity is somehow mistakenly triggered, which speeds up the growth cycle of skin cells. Psoriasis can be triggered by a number of factors, such as stress, climate changes, streptococcal or HIV infection, superficial wounds, physical illness, or taking certain drugs such as lithium, beta-blockers such as propranolol, quinidine (Heart medication) or antimalarial medications. 

Treatment-
Homeopathy is preferred over other methods due to the reason that it does not entail any side effects. Instead of suppressing inflammation like other methods of treatment, it aims to cure the root cause of the disease. Yes, psoriasis can be cured permanently through constitutional Homeopathy treatment but the question is how can a patient know whether eruptions are disappearing for permanently or temporarily? 

Permanent Cure takes place as follows: 

Cure is taken place from Upward to downwards and Center to periphery. First, the cracks come down with arresting of blood coming out from it. After that, the eruption on scalp comes down, if the scaling is thick it becomes gradually thin and then becomes powdery and with time, the scaling disappears totally. After that, eruptions on face and body come down, and at same time eruptions in hands & legs may increase with itching. Eruptions on elbows reduce, after sometime eruptions near to hands, also reduce. While eruptions on legs itches more. However, eruptions on legs also get disappeared. During the total process of cure, you will feel sleepy, and the bowel movement will be regular, sometimes there may be loose stools as well. The various homeopathic remedies that are used to treat psoriasis: Lycopodium, Sulphur, Pulasatilla, Staphysagria, Graphitis, sepia, Arsenic alb, Natrum mur etc.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3647 people found this helpful

Try Surgery For Portal Hypertension!

MS - General Surgery, DNB - Surgical Gastroenterology, Fellow HPB Surgery & Liver Transplant
Surgical Gastroenterologist, Ernakulam
Try Surgery For Portal Hypertension!

There are veins which carry blood from the various digestive organs to the liver. When there is an obstruction in the free flow of blood in the liver, it increases the pressure and is known as portal hypertension. This increased blood pressure stresses the blood vessels in the esophagus, stomach, and other digestive organs and results in internal bleeding.

What causes portal hypertension?
Cirrhosis is the most common cause of portal hypertension. The cirrhosis could be a result of excessive consumption of alcohol, chronic hepatitis, or thrombosis in the liver vessels. Blood clots in the portal vein are schistosomiasis ( a parasitic infection) are some other causes of portal hypertension. It is also important to know that in some cases, the causes of this condition remain unknown.

What are the symptoms?
Although, the symptoms of portal hypertension may not be very evident until you identify that there is some damage in the liver. the chances of developing a portal hypertension are increased if you suffer from a liver disease.

  • Ascites, which is fluid accumulation in the abdominal cavity
  • Bleeding in the abdominal vessels
  • Blood in the stools and/or vomitus (black tarry stools or blood in the vomitus)
  • Reduced platelet count
  • Encephalopathy, fluid accumulation in the brain, which can lead to confusion and other issues

How can it be managed?
Once diagnosed, treatment of portal hypertension is at two levels.
At the first level, dietary and lifestyle changes and medical treatment should suffice.

  1. Alcohol, a street drug, and tobacco use should be completely stopped. Sodium and protein intake should be reduced.
  2. Avoid taking any over-the-counter medications without consulting a medical personnel.
  3. Have a good, balanced nutrition
  4. Medications like propranolol are given to control blood pressure
  5. Medications are also given to prevent internal bleeding
  6. If there is encephalopathy, then lactulose is given to clear confusion
  7. The ends of the bleeding vessels are tied and cut off (ligated) endoscopically, and this is known as sclerotherapy. Alternately, bands may be applied to the cut vessels to prevent further bleeding. This is known as banding.

If this first line does not work, then the next level of interventional therapy is initiated.

  • TIPS, which is a transjugular intrahepatic portosystemic shunt, which is a shunt that is placed into the liver to reduce pressure.
  • Distal splenorenal shunt (DRSR) is when a shunt or link is created between the splenic vein and the left kidney vein. This also helps control variceal pressure and bleeding.
  • Both these shunts are widely performed and require follow up once in 6 months to ensure they are performing well and without any blockages.

Other options:

  • In cases where a shunt is not possible, then devascularization is done. This involves removal of the bleeding varices.
  • The fluid in the abdomen may be removed surgically by paracentesis.
  • As a last option, a liver transplant surgery may also be considered.

So, while portal hypertension definitely is a serious medical condition, there are different levels of treatment. The important thing is to alert yourself once any symptoms set in. Early intervention always ensures minimal intervention and good prognosis.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2707 people found this helpful

Psoriasis - How Homeopathy Plays A Role In Treating It?

MD - Homeopathy, Doctor of Homeopathic Medicine (H.M.D., BHMS
Homeopath, Delhi
Psoriasis - How Homeopathy Plays A Role In Treating It?

What is Psoriasis

Psoriasis is a common skin disease characterized by thickened patches of inflamed, red skin covered with thick, silvery scales. The elbows and knees are the most common areas affected by psoriasis. It will often appear in the same place on both sides of the body. The patches can range in size from smaller than a dime to larger than a hand. 

Description of Psoriasis-

Normally, skin cells mature and shed after about a month. In psoriasis, the cell maturation speeds up, taking only three to four days. Because the lower layer of skin cells divide more rapidly than normal, dead cells accumulate in thicker patches on the skin's outermost layer called the 'Epidermis'. 

Forms & Classifications-

Psoriasis occurs in a variety of forms that differ in their intensity, duration, location, shape and pattern of scales. The most common forms are: 

  1. Plaque Psoriasis: Plaque psoriasis is the most common form of psoriasis. It is characterized by raised, inflamed, red lesions covered with a silvery-white buildup of dead skin cells (scales). This is found primarily on the Body, elbows, knees, scalp and finger or toe nails. 
  2. Guttate Psoriasis: Guttate psoriasis occurs most frequently in children and is characterized by numerous small, red, drop-like scaly macules that develop rapidly over a wide area of skin. This may appear following an infection, most frequently strep throat
  3. Inverse Psoriasis: Inverse psoriasis occurs in the armpit, under the breast, in skin folds, around the groin, in the cleft between the buttocks and around the genitals. It is usually pink and irritated but lacks the thick scale seen in other forms of psoriasis. 
  4. Pustular Psoriasis: Pustular psoriasis is a rare form characterized by small pustules (whitehead-like lesions) found all over the body or confined all over the body or confined to the palms, soles and other isolated areas of the body. 

Some dermatologists classify psoriasis as mild, moderate, or severe- Mild psoriasis is considered to be scaling over less than 5-10 percent of the body, moderate psoriasis is considered to be scaling over 10 to 20 percent of the body and severe psoriasis is considered to be scaling more than 20 percent of the body. 

In 5 percent of all psoriasis sufferers, arthritis will develop. This condition is called psoriatic arthritis. Arthritis is inflammation of a joint, usually accompanied by pain, swelling and changes in joint structure. 

Causes: 
The underlying psoriasis cause is unknown; however, it can be genetically inherited or passed from generation to generation. Most researchers agree that the Auto Immunity is somehow mistakenly triggered, which speeds up the growth cycle of skin cells. Psoriasis can be triggered by a number of factors, such as stress, climate changes, streptococcal or HIV infection, superficial wounds, physical illness, or taking certain drugs such as lithium, beta-blockers such as propranolol, quinidine (Heart medication) or antimalarial medications. 

Treatment-
Homeopathy is preferred over other methods due to the reason that it does not entail any side effects. Instead of suppressing inflammation like other methods of treatment, it aims to cure the root cause of the disease. Yes, psoriasis can be cured permanently through constitutional Homeopathy treatment but the question is how can a patient know whether eruptions are disappearing for permanently or temporarily? 

Permanent Cure takes place as follows: 

Cure is taken place from Upward to downwards and Center to periphery. First, the cracks come down with arresting of blood coming out from it. After that, the eruption on scalp comes down, if the scaling is thick it becomes gradually thin and then becomes powdery and with time, the scaling disappears totally. After that, eruptions on face and body come down, and at same time eruptions in hands & legs may increase with itching. Eruptions on elbows reduce, after sometime eruptions near to hands, also reduce. While eruptions on legs itches more. However, eruptions on legs also get disappeared. During the total process of cure, you will feel sleepy, and the bowel movement will be regular, sometimes there may be loose stools as well. The various homeopathic remedies that are used to treat psoriasis: Lycopodium, Sulphur, Pulasatilla, Staphysagria, Graphitis, sepia, Arsenic alb, Natrum mur etc. If you wish to discuss about any specific problem, you can consult a Homeopath.

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Severe Headache - Can it Be Migraine?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Severe Headache - Can it Be Migraine?

One of the most debilitating conditions that anyone can experience is migraine. They can severely limit you by affecting your personal and professional life as you are in constant pain. Migraine can manifest in a type of headache with intense pain, an acute sensitivity to light, nausea and vomiting. Often described as a severe throbbing pain in the head, it may stop you from completing regular daily tasks and may delay or postpone your work.

How can migraines be treated?
The exact cause for these debilitating migraine pain hasn't been pointed out yet, but certain triggers such as stress, hormonal changes in the menstrual cycle, sun exposure, bright or flashing lights, among many others have been identified. The first line of defense for you would be to understand and identify what your triggers are. Once that is done, you can try and avoid them. If these still trigger a migraine or are about to trigger one, you can immediately take medications or steps to control it or at least lessen the pain to go through your day. Some of the options you can employ to this effect are mentioned below.

  1. Medications to prevent a migraine attack: The medications mentioned here are specialized treatments and can only be taken after a consultation with a doctor. If you are deemed as a candidate for preventative medication for migraines, then either one or a combination of drugs from the following may be prescribed to you.
    • Valproate and Topiramate are anti-seizure medications which can be used to prevent migraines.
    • Propranolol, a type of beta blocker and used for cardio vascular problems, has proven to be very effective in preventing migraines.
    • Onabotulinumtoxin A or a type of Botox, has shown a lot of promise in preventing migraines and is being slowly rolled out as a proper drug as a treatment option.
    • Certain antidepressants have also shown to be quite effective in reducing the symptoms of migraines as well.
  2. Medications to relieve pain: Some of the go to medications that help relieve your pain from migraine are mentioned below. Although some of them are OTC (over the counter) drugs, it is best advised that you consult with your doctor for medications which suit you better. The side effects of these medications can be bad and thus, it is not advised to continue them in the long run and to find other means to control pain from migraines. Some of the medications to relieve pain temporarily are:
    • Triptan is a drug used to treat severe migraines
    • Caffeine along with Ergotamine can also help dull the pain and deal with it.
    • Ibuprofen and aspirin and Acetaminophen are common pain killers that you can use
    • Codeine, which contains opioids are also used to treat this problem.
    • Metoclopramide and chlorpromazine are two examples of anti-nausea medications as vomiting along with nausea may frequently accompany your migraine.

Always remember that these medications can have strong side effects if not taken properly, therefore do not just pop a pill, consult your physician first and know which one should you take and how frequently. If you wish to discuss about any specific problem, you can ask a free question.

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Table of Content

About Inderal La 80Mg Tablet
When is Inderal La 80Mg Tablet prescribed?
What are the contraindications of Inderal La 80Mg Tablet?
What are the side effects of Inderal La 80Mg Tablet?
Key highlights of Inderal La 80Mg Tablet
What are the dosage instructions?
Where is the Inderal La 80Mg Tablet approved?
What are the interactions for Inderal La 80Mg Tablet?